HomeMy WebLinkAbout10193298 - Permitcity of Santa Ana 20 civic center Plaza (M-'19), santa Ana, cA 92702 Building
Permit Counter: (7141647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
E
Assessor's Parcel 408-35't-02 Lot.2
Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA f .act 4402 Historicr No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Owelling
Addition
Addn
sfd
Occupancy:
Constr Type
Code:
FIood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320257J
1
'l st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Botch+:4f.rgid - tt/g/211!70ff icet CTYH Tr(lne+: i6
Patio:
T.l.Area:
Yards Req'd:
Valuation: $64,005.00
I0r r-r'gE11,,'t'
568
568
Description of Work: New 2nd story with (2) bedrooms & (1) bathroom. New stairs from 1st floor/SAUSO #3869
Owner:
Addressr
Phone:
Tenant;
Planning Conditions:
George Moua
1918 W Glenwood Place
Santa Ana, CA 92704
Contractor: Treeiumlnc
Address: 5352 Laurel Canyon Blvd, #1
Valley Village, CA 91607
Phone: (855) 833-8733
Stale Lic #: 61714A
Lic Type: C-36, B, c46
Bus. Lic #: 345372
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9100432
Expires: 06/01/2018
Rahman EFginqedmi rr' 1 ., - i iMoksudurfeffiEnt ion I rrtLrt
6939 Schaefer Avenue, Suite D-170
661ne, 94 lPq iPirr In,::
l2't3t 400-8078
igzes lili:fiirl'll,l,l,jii: u""
/"q/?trl7 3: 14 pfl
$t r 116.94
Phone;
License #:
Phone;
License #:
Architect /
Desiqner:
Address:
516r1I t0r1-
Eev0l.,., ins
51612t:r00-
& Docu ents
5777r-rIr]ll-
e,"r"tt snHd ]9.i.lll
Everett srii+tl6ll'1-
3437 Porofuiqq Gairit-
Perris, cA1fl{$7ld} i i-,(9sr) 323-01qtr ! rrri2-
5:i I l'
_ ,2t.?5
- ,927.?8
_ $3.00
_ i61 .34
$8.3?
Planning Approval By;
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Ni, Ann
llillll;X,S(
Fire lnsp. Req'd:
Police lnsp. Req'd U Account#
Date: 11/08/2017
Dale. 1011A12017
Date 11lOBl2O17
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receiptl
$87d0d . i'll
si/fll?,.s,r
$61.54
$8.32
$3.00
$21.25
$52.S8
Flood Zone Cert. Req'd: No 01 1 16002
0'1 1 '16002
0'1 1 16002
01 1 16002
08901001
51600
51601
51612
57770
24000
$21.25
$927.98
$3.00
$61.54
$8.32
$2.803.89
$1,687.05
$1,1 '16.840\\l0(,-L 52^rb sn15
Fee Total:
Paid to Date:
Balance Due:
Permit #: lO{93298
Pin #: 9O9{2
Proiect Address: 1918 W Glenwood Pl Unit:
Engineer:
Address:
o 1116 ob:1( slH o ldPB&n it Fee687i3 orrr*'Ql1jl/i,bl,e[:i,'Uilii(re"
07776002 57770 Microfilm Records
08907007 24000 SMIP - Category 1
07776002 57672 Bldg. Stds. Revolving
07776002 51600 General Plan Update
Total o7t76oo2 5tdol lssuance
Every permit issued shall become invalid unless the work on the site authorized by
such peftnit is commencad within180 days after its issuance,or if the wo* authotized
on tha site by such pemit is suspended or abandoned lor a pe od of 180 days aftet
the time the work iscommenced.
lnspector MID#: 2017-135700
SITE-WORK DATE ID/SIG,COMMENTS OWNER AUILDER DI'LCA RA'I'ION
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Set Backs ,A
Forms/Steel/Holdowns I -'l -lt x"wa
Erection Pads v
UFER Ground
SLAB Floor
Subf loor/Vent/lnsu lation /4.
Roof Sheathinq f- ld,-v B$LIA
Shear Wall f,+fuf \z
Framinq v.wrt)
lns u lation/E nerg y 5-r"ll r x.ux4t[
Drywall 5J-,9.W
Ext./lnt. Lath 5-7-ty \WM
Brown Coat t( lr,
{#asunfu Jt tA>C rr D,VriL)t
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certil
A
FINAL vrcry)\
Certificate ol Occupancy
Notes, Remarks, Etc
J (a
-21 ..!rlLl-l,o{+1
tuY t\t-/.r J t lr.L
BUILDING. INSPECTOR BECORD
t]cv.0U{7-2015
tr-J " I
ty
r2-H-l
IrnJ.is AdJ6.
-
A-" *rryt3r,I
I r(Ltit-, !r
E o tlrfl F'sr.G-{
5352 Li urel Gnyon Bhd. Suile 200, Vallry VillaSe, CA 91 607
(855) 833-IREE{8n3) | Lirense*617148
Ir1 '{.treeium.om
lir: DeparLment of Building and Safen'
This letter is a written authorization, aurhorizing Ana Salazar to submit plans, pull pcrmts, obtarn
ciry busincss licensc and sigt documcnts for the homc improvcr.ncr)t, projects on bchalf of my
compan\':
Treeium Inc.
Companv Namc
5352 Laurel Canlon BIvd. #200. Valle) Villa€'e. CA 9160?
Addtess
855-833-8733
Phone
677748
Contractor's License Numbcr
NIcir Barzilai
sig,ature
A not3ry public oroth€rolficer compkting rhis ccnificirc ver;fies oDlv the identitr" ofrhe indi!idual $ho signed rhe documcnr to ghich
this cerdficate is attlched, rnd not rhe rruthfulness, rccur.cy, o.validir.v of rhrr documenl
State of Califomia )
Counw of Los Angeles
O" ffilll? before me, Rochelle r.r-icole LaNIont-Nilsson: Notarv Public, penonallr
appeated \tcir Barzilai
who provcd to me on the basis of satisfacto.,- cvidence to be rhe person(s) rvhose name(s) is/are subscribed
to the .rl'irlin insttument and acknowledged to me that he/shc/thev cxecuted the same in his/her/theit
authorized capacity(ies), and that bv his/her/their signanrre(s) on rhc instrument rhe pcrson(s), or rhe entir\
upon behalf of rvhich thc pcrsoo(s) acted, executed thc instrumenr. I cedfl under PEN,,\L'IY OF PERJURY
under ttre larvs ofthc State of California that thc foregoing paragraph is mre and correct.
\\l ESS mv hand and official scal
NoranNotarv Public S rgnarurc ffiffi Public Seal
N
lil NATIONAL INSPECTION & TESTING
SPECIAL/DEPUTY INSPECTION REPORT Job No o"" 12-20-2017 Time
TYPE OF
INSPECTION
REQUIRED
Reinforced conoete
Posl Tensioned Cohcrote
Stnrctural Ste€l Assembly
High Strength Bolts
Quality Control
Epoxy
OthorReinforced Ma Fire Proofin
TESTS PERFORMED
SUMMARY - LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN. WORK REJECTED. JOB PROBLEMS , PROGRESS. REMARKS, ETC
Verified installation of #4 footing dowels and #4 slab dowels at exterior and interior footings
and slab using Simpson Set XP epoxy ICC ESR 2508 per details on approved plans.
Work was done in accordance with mfg. specifications.
TERMS:BILIING AT4 ANO 8 HOURS MINIMUMS, WTH 2 HOT,R CHARGE FOR CANCELLATIONS, SHCI,,LO NIT 8E REQUIRED TO INSTITUTE LEGAL ACTION FOR TIIE COLLECTION OF
A OEET INCURRED AS A RESULT OF ACCEPTANCE OF THIS SERViCE TIC(ET NIT WILL BE €NNTLED TO ATTORNEYS FEESAIIDCOSI INCURREO IN SAID SUITE-
THIS FIELO REPORT PRESENTS A SL}MMARY OF OBSERVATIONS AND TESTING BY NATIONAL INSPECNONA TESTING PERSONNEL OR SUE.CONTRACTORS, OUR WORK OOES NOT
INCLUDE SUPERVISION OR DIRECTION OF THE ACTL,A! WOR( OF THE CONIRACTOR, HIS EMPTOYEES OR AGENTS. THE CONTRACTOR IS INFORMEO THAT NEITHER IHE
FTRESENCE OFOUR FIELD REPRESENTATIVE NOR THE OBSERVANON AND TESTING BY OUR FIRM SIIATL EXCUSETHE CONTRACTOR IN ANY WAY OF DEFECIS OISCO\EREO IN THE
CONTFAC1ORS WOFX, IT IS UNOERSTOOO THAT OUR FIRM \/YILL NOT BE RESPONSIELE FOR JOB OR SITE SAFETYONTHIS PROJECI,
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAI I HAVE INSPECTEO TO THE BESI OF MY KNOWLEDGE AI.t
OTHE RWSE NOTED. I HAVE FOUNO THIS
SPECIFICATIONS AND APPLICABLE
RC 8012943 ICC
City of Santa AnaBuildino Depa.hent 1918 W. Glenwood Pl
On File
Treeium, lnc.
Su tcont-aclor Engineer
lnspeclo(s) Name l/ario Cordero
T
TI
TYPE OF SAMPLE SLUMP OUANTITY IN SET ADDITIONAL REMARKS ON SAMPLESIII
TIME IN TITIE OUT REG,HOURS O.T, HOURS IRAVEL TIIIE
4II IIE
NO
INSPECTOR
AGENCY
All hspedjons bes6d on a mintnum of 4 hou6 and over 4 hours . 8 hours
minimum. in addi{on anyinspection Bnending passed noonwillbe an 8 hourminim{fit
Overtime b ling aier 0. Hou6 aM Satuft/s at Trrne and a Halt Sundays oouble Time.
P.O. Box 63304
Los Angeles, CA 90063
Tel: (800) 79'l -2136
Fax: (888) 808-1317
24 Hrs.: (310) 930-5515
otfice@nationallab.us
Addition/Remodel
trtr
PAGE 1 or ICONTINUED ON NEXT PAGE
lil NATIONAL INSPECTION & TESTING
P-O. Box 63304
Los Angeles, CA 90063
Tel: (800) 791-2136
Fax: (888) 808-1317
24 Hrs.: (310) 930-5515
office@nationallab.us
SPECIAL/DEPUTY INSPECTION REPORT Date r2-201g Time
TYPE OF
INSPECTION
REOUIRED
Reinfoaced concrete
Post Tensioned Concrote
Structural Steel Assembly
High Strength Bolts
E Quality Control
Reinforced Ma Fire Proofin
Epoxy
Other
TESTS PERFORMED
TYPE OF SATIPLE SLUMP QUANTIW IN SET ADOITIONAL REMARKS ON SAMPLES
SIJMMARY . LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC
Work was done in accordance with specification.
IERMS: EILLINGAT 4 ANO 8 HOURS MINIMUMS, WITH 2 HOUR CHARGE FOR CANCELLATIONS, SI'IOULD NIT AE REQUIRED TO INSTITUTE LEGAL ACTION FOR THE COLLECTION OF
A OEBT INCURREO AS A RESUTT O' ACCEPTANCE OF THIS SERVICETICKET NITWITT BE ENTITLED IO ATTORNEYS FEESAND COST INCURREO IN SAIOSUITE.
THIS FIELD REPORT PRESENTS A SUMMARY OF OBSERVATIONS AND TESTING BY NATIONAL INSPECTION& TESTING PERSONNEL OR SUB-CONTRACTORS, OUR WORK OOES NOT
INCLUOE SUPERVISION OR DIRECTION OF THE ACTUAI WORK OF 1HE CONTRACTOR, HIS EMPLOYEES OR AGENIS,IHE CONTMCTOR IS INFORMEDTHAT NEITHERTHE
PRESENCE OFOUR FIELD REPRESENTATIVE NORTHE OBSERVATION AND TESTING BYOUR FIRM SHAIL EXCUSE TBE CONTRACTOR IN ANY WAY OF OEFECIS OISCOVERED IN IHE
CONTRACTORS WORX, IT IS UNDERSTCTOO THAT OUR FIRMwlLL NOT BE RESPONSIBLE FOR JO8 OR SITE SAFETY ONTHISPRO.IECT,
CONTINUED ON NEXT PAGE PAGE ,1
OF
OF THE OTI]ERWISE NOTED.I HAVE FOL,NO THIS
SPECIFICATIONS, AND APPLICAB!€
BU
RC 8012943 rcc
City of Santa Ana 1918 W. Glenwood PlBuildin9 Depanment
Addition/Remodel ferm,i
No On File
lnooress
Treeium, lnc leooress
l'"n'""'Su Econfaclor
[rcnrtect
lnspecto(s)Name Mario Cordero
TIME IN TIME OUT REG.HOURS O.T, HOURS TRAVEL TIME
4II II
SPECIALTY NO
INSPECTOR
AGENCY
All hspeclbns b6sed on a minimum ol4 houB and ov6r 4 hours - 8 hou6
minimum. in addilio. any inspedion sxtending passed noonrllb€ an I hourminimum
Ovtnim€ billin!.1161 8- Houls and Saturday's at Time and a Half, Sundays oouble Timo.
Proper installation of (20) 5/8" dia threaded rods for anchor bolts at sill plate along shear
walls into existing concrete per detail and shear wall schedule. Holes were clean and filled
with Simpson Set XP epoxy ICC ESR 2508.
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECIED TO THE BEST OF MY KNOWLEDGE ALL
Job No.